Individual
SAMANTHA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 MAYFAIR PL, WAYCROSS, GA 31501-7551
(912) 284-1694
Mailing address
2111 MAYFAIR PL, WAYCROSS, GA 31501-7551
(912) 284-1694
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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